Evidence map›Paper›PMID 30326070›Full record

ArticleInvestigative ophthalmology & visual science2018

Lens Epithelial Cells Initiate an Inflammatory Response Following Cataract Surgery.

Jian Jiang, Mahbubul H Shihan, Yan Wang, Melinda K Duncan

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 105 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Anterior Capsular Contraction Syndrome in Cataract Surgery: A Review of Challenges and Solutions.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Review
  17. Review
  18. Article
  19. Article
  20. Application of Silicone in Ophthalmology: A Review.Materials (Basel, Switzerland) · 2024
    Review

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Jian JiangDepartment of Ophthalmology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Mahbubul H ShihanDepartment of Biological Sciences, University of Delaware, Newark, Delaware, United States.
Yan WangDepartment of Biological Sciences, University of Delaware, Newark, Delaware, United States.
Melinda K DuncanDepartment of Biological Sciences, University of Delaware, Newark, Delaware, United States.
University of Delaware · USCentral South University · CN

Funding

Predictive Modeling & Optimal Control Framework for Model-Based Epidemic Response in DelawareP20GM103446 · NIGMS · UNIVERSITY OF DELAWARE · PI Shawn W Polson · 2012 to 2026
$67.2M
The Influence of Capsule Composition on Lens BiologyR01EY015279 · NEI · UNIVERSITY OF DELAWARE · PI DUNCAN, MELINDA K · 2004 to 2025
$7.8M
The mechanisms underlying posterior capsular opacificationR01EY028597 · NEI · UNIVERSITY OF DELAWARE · PI DUNCAN, MELINDA K · 2018 to 2021
$1.5M
Acquisition of a Zeiss LSM710 Confocal MicroscopeS10RR027273 · NCRR · UNIVERSITY OF DELAWARE · PI DUNCAN, MELINDA K · 2010 to 2010
$494k
NCRR NIH HHS S10 RR027273NEI NIH HHS R01 EY015279NEI NIH HHS R01 EY028597NIGMS NIH HHS P20 GM103446
6 · The paper itself

Abstract

Purpose: Lens epithelial cell (LEC) conversion to myofibroblast is responsible for fibrotic cataract surgery complications including posterior capsular opacification. While transforming growth factor beta (TGFβ) signaling is important, the mechanisms by which the TGFβ pathway is activated post cataract surgery (PCS) are not well understood. Methods: RNA-seq was performed on LECs obtained from a mouse cataract surgery model at the time of surgery and 24 hours later. Bioinformatic analysis was performed with iPathwayGuide. Expression dynamics were determined by immunofluorescence. Results: The LEC transcriptome is massively altered by 24 hours PCS. The differentially expressed genes included those important for lens biology, and fibrotic markers. However, the most dramatic changes were in the expression of genes regulating the innate immune response, with the top three altered genes exhibiting greater than 1000-fold upregulation. Immunolocalization revealed that CXCL1, S100a9, CSF3, COX-2, CCL2, LCN2, and HMOX1 protein levels upregulate in LECs between 1 hour and 6 hours PCS and peak at 24 hours PCS, while their levels sharply attenuate by 3 days PCS. This massive upregulation of known inflammatory mediators precedes the infiltration of neutrophils into the eye at 18 hours PCS, the upregulation of canonical TGFβ signaling at 48 hours PCS, and the infiltration of macrophages at 3 days PCS. Conclusions: These data demonstrate that LECs produce proinflammatory cytokines immediately following lens injury that could drive postsurgical flare, and suggest that inflammation may be a major player in the onset of lens-associated fibrotic disease PCS.

Indexed as

Cataract ExtractionAnimalsCalgranulin BCapsule OpacificationChemokine CCL2Chemokine CXCL1Colony-Stimulating FactorsCyclooxygenase 2CytokinesEpithelial CellsFluorescent Antibody Technique, IndirectGene Expression ProfilingGene Expression RegulationHeme Oxygenase-1InflammationLens, CrystallineCalgranulin BCcl2 protein, mouseChemokine CCL2Chemokine CXCL1Colony-Stimulating FactorsCxcl1 protein, mouseCyclooxygenase 2CytokinesHeme Oxygenase-1Hmox1 protein, mouseLcn2 protein, mouseLipocalin-2Membrane ProteinsS100A9 protein, mouse

Identifiers

PMID30326070
PMCPMC6188467
OpenAlexW2896236936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.